MARTIN T PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

MARTIN

Middle

Last Name

PHILLIPS

Suffix

Business Name

MARTIN T PHILLIPS MD

Original Issue Date

05/21/2001

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023